U.S. Department of Health and Human Services: Rate Review Annual Report September 2013. Rate Review Justification (RRJ) Data

09/01/2013

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Rate Review Justification data are submitted to the Center for Consumer Information and Insurance Oversight (CCIIO) for rate requests of 10 percent or more. This analysis used only adjudicated requests with effective dates between January 1, 2012 and December 31, 2012.

A limitation to this method for estimating savings by state is that it assumes that each affected enrollee in these plans paid the statewide average premium, which may not be likely when small numbers of enrollees are affected.  Another limitation is that the savings are applied to a full year of premiums, even though many rate increases go into effect mid-year.

Table A-1: Individual Market Rate Increase Requests of 10% or More, 20121
State A: Total Number of Requests 
Reviewed2		 B: Total Number of Requests 
Modified or Rejected		 C: Total Number 
not Modified		 D: Total Number 
Withdrawn3
1 Only includes states with at least one rate increase request of 10% or more
2 Column A=Column B + Column C + Column D
3 Includes re-submissions

Alaska

1

-

1

-

Arizona

9

-

6

3

Arkansas

2

2

-

-

California

9

6

3

-

Colorado

6

2

3

1

Connecticut

1

1

-

-

Florida

6

-

4

2

Idaho

5

-

3

2

Illinois

9

-

9

-

Indiana

3

2

-

1

Kentucky

2

-

2

-

Louisiana

4

-

4

-

Maine

2

1

1

-

Michigan

5

-

3

2

Missouri

7

1

6

-

Montana

7

1

6

-

Nebraska

6

-

4

2

Nevada

6

4

-

2

North Dakota

6

2

4

-

Ohio

4

-

4

-

Oklahoma

1

-

1

-

Oregon

5

4

-

1

South Carolina

3

3

-

-

South Dakota

3

1

2

-

Texas

2

-

2

-

Utah

4

-

-

4

Vermont

1

1

-

-

Washington

12

10

-

2

Wisconsin

21

2

19

-

Wyoming

2

 -

2

-

Total

154

43

89

22
Table A-2: Small Group Market Rate Increase Requests of 10% or More, 20121

State

A: Total Number of Requests
Reviewed2

B: Total Number of Requests
Modified orRejected

C: Total Number
not Modified

D: Total Number
Withdrawn3
1 Only includes states with at least one rate increase request of 10% or more
2 Column A=Column B + Column C + Column D
3 Includes re-submissions

Alabama

1

-

1

-

Alaska

3

-

3

-

Arizona

3

2

1

-

California

9

1

8

-

Colorado

1

-

1

-

Connecticut

4

3

1

-

Delaware

4

-

4

-

Florida

9

1

8

-

Georgia

1

1

-

-

Idaho

1

-

1

-

Illinois

4

-

4

-

Indiana

3

3

-

-

Iowa

5

4

1

-

Kansas

4

2

2

-

Maine

3

-

3

-

Maryland

1

-

1

-

Michigan

8

5

1

2

Mississippi

1

-

-

1

Missouri

2

-

1

1

Montana

1

-

1

-

Nevada

3

-

3

-

New Jersey

6

-

6

-

New York

4

4

-

-

North Carolina

2

2

-

-

North Dakota

2

2

-

-

Ohio

6

-

5

1

Oklahoma

2

-

2

-

Pennsylvania

1

1

-

-

South Carolina

2

2

-

-

South Dakota

2

2

-

-

Texas

5

-

3

2

Utah

1

-

1

-

Vermont

1

1

-

-

Washington

6

1

5

-

West Virginia

5

1

4

-

Wisconsin

20

-

15

5

Total

136

38

86

12

 

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